Provider Demographics
NPI:1164510152
Name:NEW HORIZONS PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:NEW HORIZONS PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LOOSER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-363-2570
Mailing Address - Street 1:164 S 3RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-2720
Mailing Address - Country:US
Mailing Address - Phone:406-363-2570
Mailing Address - Fax:406-363-7214
Practice Address - Street 1:164 S 3RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2720
Practice Address - Country:US
Practice Address - Phone:406-363-2570
Practice Address - Fax:406-363-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0349350Medicaid
MT5607238Medicaid
MT61378OtherBCBS
MT0349350Medicaid